Individual provider Active NPI

Devin Waterhouse, LISW

  • Clinical Social Worker
  • Johnston, IA
National Provider Identifier
1538836614
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108217 Issued in IA
Practice address
9105 Northpark Dr
Johnston, IA 50131-4807
Phone
(515) 984-0225
Fax
(515) 984-0226
NPI assigned
Aug 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 108217 IA Primary

Addresses

Primary practice location

9105 Northpark Dr
Johnston, IA 50131-4807

Mailing address

9105 Northpark Dr
Johnston, IA 50131-4807
Phone (515) 984-0225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 14, 2025 through Oct 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108217IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grapevine Clinical LLC Clinical CurrentSince Aug 29, 2021 Accepting new patients
Willow Grove Therapy Group LLC Clinical PastSince Aug 29, 2021 Accepting new patients
Julie McClatchey, Lisw, PC Past Accepting new patients

Locations

606 Walnut St
Ste 1610
Des Moines, IA 50309
Phone (515) 360-0034

431 28th St
Ste 205
Des Moines, IA 50312
Phone (515) 241-4447

4949 Pleasant St
Ste 104
West Des Moines, IA 50266
Phone (515) 369-0034

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25392/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1538836614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 NORTHPARK DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501314807",
            "telephone_number": "515-984-0225",
            "fax_number": "515-984-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 NORTHPARK DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501314807",
            "telephone_number": "515-984-0225",
            "fax_number": "515-984-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERHOUSE",
        "first_name": "DEVIN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "108217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.